906 SE EVERETT MALL WAY BOEING OFFICES 2018-01-01 MF Import

Date�l�LQ' 6 � � (- Application For PUgLIC WORKS PERI►.lIIT Print or Type Only �_ Mailin9 Describe Proposed Work Ciry �`4 ProjeclAddress�ifknown) 7�1(e .i� (,�nni�cf �iiu�v.�✓ iP Attach four (4) copies of plans tor proposed work - Draw to scale and note the tollowing as • Property Lines • Outline and dimensions of all existing and proposed structures on the lot • Existing and proposed utilities Pu�lm Works Permil sG� BICB� DepL � �j � Puebc Works Feo $ To�al Fee !.essAOo! FeePaia $ 9alance Due S • Center�ine ot street • Indicate North ! Show any proposed grading changes • Show measurements LI Phone PERMIT CONDITIONS 1. All cells for inspection shall be made 24 hrs. in advance - pho;ie 259•8810. 2. All work shall be performed in accordance with this permit and current City of Everett Oesign and Consirur,tion Standards and Specifications. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1•800•424-5555. 9�2 �%mr�%�C� �'G��;vr�o� 5��3��'c5' �_�� Approved for Construction Dale FINAL INSPECTION Approved as Cons�ructed evere[t PUBLIC WORKS DEPARTMENT � 3200 Cedar Street Everett, WA 98:01 Phone: 259•8P10 Dale ACKNOWLEDGEMENT OF CONDI'fIONS W H � � O The undersigned owner/applicant hereby agrees to hold and save harm• less the City of Everett �rom any and all claims for damages, costs, expenses, or causes of action that may arise because of installation and maintenancr, of the improvement or other right-ol-way use herero applied for and further agrees to remove same uDon notice from ihe City and to replace public properry damaged thereby. Signa�ure of F.pplicant Date WORK AUTIiOR12ED 8Y THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE FERA11'f IS ISSUED AND THEREAfTER IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELL'cD BY TNE CITV UPON ANY STOPPkGE OF WORK ON THIS PROJECT OVER 90 DAY; DURATION.